苏北沿海射阳县2010-2014年流行性腮腺炎流行病学特征和控制对策分析

Epidemiological analysis of mumps in Sheyang,Jiangsu northern coastal areas from 2010 to 2014

目的分析苏北沿海射阳县2010-2014年流行性腮腺炎疫情流行病学特征,为疫情防控提供参考依据。方法运用描述性流行病学方法对2010-2014年射阳县流行性腮腺炎疫情数据进行分析。结果 2010-2014年射阳县共报告流行性腮腺炎病例753例,年平均报告发病率15.53/10万,报告发病率从2010年的1.44/10万逐步上升到2014年的37.71/10万。发病高峰为4~6月,以学龄儿童为主。报告10起学校暴发疫情,同期学龄人群中大部分无含腮腺炎成分疫苗接种史。结论射阳县2010-2014年流行性腮腺炎发病上升与含腮疫苗接种率过低及学生卫生管理差等因素有关,应做好基础免疫,提高8岁以上学生含腮成分疫苗接种率,严格落实校内外预防与控制措施,以控制疫情上升。

Objective To analyze the epidemiological characteristics of mumps in Sheyang County, located in northern coastal ar- ea of Jiangsu Province from 2010 to 2014 and provide scientific evidence for the prevention and control of the disease. Methods Descriptive epidemiological analysis was conducted on the incidence and outbreak data of mumps in Sheyang during this peri- od. Results 2010 - 2014 years Sheyang County reported a total of 753 cases of mumps cases, the average annual reported inci- dence of 15.53/100 000, from 2010 reported incidence of 1.44/100 000 in 2014, gradually rising to 37.71/100 000. The peak in- cidence is from April to June, mainly school - age children. 10 report from school outbreaks, the school - age population over the same period in most of the mumps component containing no vaccination history. Conclusion The low vaccination rate and subopti- mai management of school sanitation may be the factors that are related to the rising of the incidence of mumps in Sheyang County. It is necessary to remain high vaccination rate of the mumps among studentsaged ≥8 years, and at the same time to conduct targeted prevention and control measures in schools and outside schools to control outbreaks during the incidence peak period.